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Value-Based Insurance Design for Chronic Conditions: Provider-Payer Collaboration Models - Pricing Strategies

Former Director - Strategic Vendor Governance and IT Transformation
Blue Cross Blue Shield Association
Health Insurance
USA
North America

$ 795

June 18, 2025

Topics covered in this transcript

  • How are insurers restructuring provider contracts to reward outcomes over volume?
  • What data infrastructure is required to support real-time quality metric tracking?
  • How are predictive analytics being used to identify high-risk patient cohorts?
  • What legal frameworks govern risk-sharing arrangements in Medicare Advantage plans?
  • How are providers adapting workflow systems to meet value-based performance targets?
  • What patient engagement strategies improve adherence in value-based models?
  • How do pharmacy benefit designs need to evolve under value-based principles?
  • What lessons can be drawn from the Oncology Care Model pilot program?
  • How are stop-loss insurance products evolving to protect providers in risk-bearing contracts?
  • What role do community health workers play in value-based care teams?
  • How are telehealth reimbursements being structured in outcome-focused contracts?
  • What impact will CMS' Innovation Center models have on commercial payer strategies?

Keywords

  • Risk-Sharing
  • Quality Metrics
  • Care Coordination
  • Predictive Analytics
  • Medicare Advantage
  • Workflow Optimization
  • Patient Engagement
  • Pharmacy Benefits
  • Telehealth Reimbursement
  • Stop-Loss Insurance
  • Community Health Workers
  • CMS Innovation

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Mumbai
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Bangalore

Cinnabar Hills, Embassy Golf Links Business Park, Bengaluru, Karnataka 560071
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Get in touch with us to learn more about our services, ask for assistance with a technical difficulty, or if you would like a product demo.
info@nextyn.com
Singapore
68 Circular Road, #02-01
049422, Singapore
Jakarta

Revenue Tower, Scbd, Jakarta 12190, Indonesia
Mumbai
4th Floor, Pinnacle Business Park, Andheri East, Mumbai, 400093
Bangalore

Cinnabar Hills, Embassy Golf Links Business Park, Bengaluru, Karnataka 560071
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